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Demographic Study of Orthopedic Trauma among Patients Attending the Accident and Emergency Department in a Tertiary Care Hospital

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Abstract

Background

Trauma causes a major burden on the health system and economy of the country. A better understanding of the epidemiology of trauma can be of great help in planning preventive and curative strategies.

Materials and Methods

A total of 4834 patients of trauma presenting during 1 year were included in this observational study. Demographic profile and other related criteria were noted, and data were statistically analyzed.

Results

Male to female ratio was 5:1; most affected age group was 25–14 years in males and 45–64 years in females; 23.2% were illiterate; and professionals and students were most commonly affected. Road traffic accident (RTA), fall, and assault were the three most common causes; two wheelers were the most common accident causing vehicle. Nearly 17.7% were below poverty line and 67.6% reached hospital within 12 h. Medicolegal cases were 29.7%; only 29.3% reached hospital by ambulance and 3.72% were hemodynamically unstable. Only 3.6% received prehospital care and 16.23% were under alcohol influence. About 23.18% of RTA victims were pedestrians; city roads were the most common accident site. Head injury (25.85%) was the most common associated injury. Fractures were most common in hand (9.72%). The injury severity score (ISS) and New ISS were worse in the patients who were not using seat belt/helmet or were under influence of alcohol. The rate of death and associated injuries was also higher in this group.

Conclusion

Trauma is a major preventable cause of mortality and morbidity mainly affecting the productive age group of the society.

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Authors and Affiliations

  1. Department of Community Medicine, Pt.B.D.S. PGIMS, Rohtak, Haryana, India

    Varun Arora

  2. Department of Orthopaedics, Pt.B.D.S. PGIMS, Rohtak, Haryana, India

    Rajesh Kumar Rohilla, Sumit Kumar, Roop Singh, Ashish Devgan & Hari Singh Meena

Authors
  1. Rajesh Kumar Rohilla
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  2. Sumit Kumar
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  3. Roop Singh
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  4. Ashish Devgan
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  5. Hari Singh Meena
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  6. Varun Arora
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Correspondence to Rajesh Kumar Rohilla.

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Rohilla, R.K., Kumar, S., Singh, R. et al. Demographic Study of Orthopedic Trauma among Patients Attending the Accident and Emergency Department in a Tertiary Care Hospital. JOIO 53, 751–757 (2019). https://doi.org/10.4103/ortho.IJOrtho_161_19

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  • DOI: https://doi.org/10.4103/ortho.IJOrtho_161_19

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